3 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12039

SMLE Question #12039

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 25-year-old sexually active woman presents with 3 days of severe vulvar itching and burning with thick white clumpy vaginal discharge that adheres to the vaginal walls. She denies foul odor, fever, or pelvic pain but reports dyspareunia due to irritation. She completed a 7-day course of broad-spectrum oral antibiotics 2 weeks ago. Pelvic examination shows vulvar erythema and edema with adherent white plaques in the vagina and no cervical motion tenderness. What is the most likely diagnosis?

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